182 POINSETTIA ST - ELEC. SAFETY J I —
s� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0;11INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0091
Description: SAFTETY INSPECTION
Estimated Value: 0
Issue Date: 3/26/2018
Expiration Date: 9/22/2018
PROPERTY ADDRESS:
Address: 182 POINSETTIA ST
RE Number: 170638 0000
PROPERTY OWNER:
Name: STELZMANN ANDY
Address: 184 POINSETTIA ST
ATLANTIC BEACH, FL 32233-4018
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BARKOSKIE ELECTRICAL SERVICE,
Address: 48 S PENMAN RD INC.I48 S. PENMAN ROAD
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
PC/
Ph(904)247-5826 Fax (904) 247-5845 b ReS 18--C) 0 9 /
%E�
JOB ADDRESS: L 2 PC/AI ST` PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /S AMPS ,"3-7z-4 u VOLTS / PHASE
VALUE OF WORK$ . av
NEW SERVICE 0 Overhead 0 Underground Fir Underground up Pole
Residential(Main)Service
0-100 amps 1101-150amps 151-200amps amps it of Meters
Commercial(Main)Service
0-100 amps ' ,101-150amps I51-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps i 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ••
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool 1 ; Sign : Smoke Detectors Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other _.__ —
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this appliartion and know the same to be true and correct. MI provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law rogation auction or the performance of
pion.
Property Owners Name AV Dy S—L E,4 A `A/ Phone Number ` 2-47- 2-4 28
�/`a4�L4c�SK/C. z'772 ) C Office Phone 3/ Fax 'gS017
Electrical Company
Co. Address: '953 c tq /W City vA 'C-L State I Zip S%
License Holder(Prist): --14-7.4 c7-5 ,4h` c-f-t� State Certification/Registrationn�#/3 00 Z3 81
Notarized Signature of License H
I AT
490, W LTh Before me this 191:4- day of 0 ao 6i....-- 20 11
*Si Evisio6+1omrtr. Signature of Notary Puublic r 4 ..�_